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Massachusetts rates for HCPCS L3980

Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.54 / $198.54 / $198.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $204.70 / $450.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.95 / $861.15 / $2,158.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.48 / $273.27 / $443.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.32 / $586.79 / $755.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.29 / $473.23 / $638.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $262.61 / $318.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $229.50 / $436.22
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.92 / $367.92 / $386.32
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.53 / $216.53 / $244.06
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.15 / $2,158.44 / $2,158.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.13 / $226.70 / $443.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.13 / $226.70 / $389.70